Female

Mrs. Linda D. Moon O.T.R.

Occupational Therapist in Panama City, FL(View on Map)

Full Name

Mrs. Linda D Moon O.T.R.

NPI Number

1659303147

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/07/2006

Specialties

(Taxonomies)

Code

225X00000X
222Q00000X
225XL0004X

Primary Taxonomy

Yes
No
No

Licenses

State

Florida

License Number

OT 10128

Contact
Information

Purpose

Mailing
Location

Address

7514 NAUTICAL CT
7514 NAUTICAL CT

City

Panama City
Panama City

State

FL
FL

Postal Code

32409-4827
32409-4827

Country

US
US

Telephone Number

(850) 628-0981
(850) 628-0981

Identifiers

Identifier

116506000
P00303830

Identifier State

FL
FL

Identifier Issuer

Unknown
RR MEDICARE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/24/2024

Provider Address

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